Senior Business Systems Analyst - Remote

Sentara Health is hiring a Senior Business Systems Analyst to support, enhance, and implement software applications used within the organization. The role focuses on enrollment and eligibility processes, EDI 834 file exchanges, stakeholder requirements, data analysis, testing, project coordination, and process improvement.

Responsibilities:

• Serve as the primary liaison between business units, IT groups, and external partners regarding Enrollment and Eligibility processes, with a focus on EDI 834 file exchanges
• Elicit detailed requirements from stakeholders for the onboarding and maintenance of EDI 834 transactions
• Analyze, map, and document data flows, business processes, and system interfaces—particularly for enrollment and eligibility functions
• Review and validate inbound and outbound EDI 834 files to ensure data integrity and compliance with industry and regulatory standards
• Utilize methodologies such as Agile, Waterfall, and SDLC to manage and support projects related to enrollment and eligibility
• Develop and execute SQL queries for data analysis and troubleshooting of EDI 834 transactions and enrollment data
• Identify and mitigate operational and technological risks associated with enrollment file exchanges and eligibility processing
• Lead testing, troubleshooting, and enhancement activities for enrollment systems and EDI integrations
• Build and maintain strong relationships with internal teams and external partners (e.g., plan sponsors, TPAs)
• Proactively identify opportunities for business process improvement and innovation within enrollment and eligibility operations
• Drive initiatives to increase customer satisfaction by streamlining EDI processes, enhancing data accuracy, and optimizing workflows
• Evaluate project team performance and ensure objectives, targets, and timelines for enrollment and eligibility enhancements are consistently met
• Oversee the design and implementation of new enrollment-related solutions and assess their impact on customer satisfaction and operational efficiency
• Create and distribute monthly performance and operational analysis reports using Tableau, Excel, and other analytic tools
• Stay informed of regulatory changes and industry trends regarding EDI 834, HIPAA, and member enrollment
• Provide training and guidance to junior analysts and business units on EDI 834 standards and enrollment practices

Requirements:

• Bachelor's degree preferably in a field such as Computer Science, Business, Technical, Education, Information Systems, Finance, Business Administration, Accounting, Engineering, Information Technology (Required)
• Candidates without a bachelor's degree with 6 or more years of relevant experience may be considered
• 4 years of relevant experience (Required)
• Must have experience working in SQL
• Understanding of Software Development Life Cycle
• Proficiency in SQL, HTML, and CSS (Preferred)
• Nice to have experience working in Salesforce, QNXT, Edifecs